Kenneth E Stark Md Pa in Tavares - Rheumatology
Kenneth E Stark Md Pa - NPI 1295916476
Kenneth E Stark Md Pa is a Rheumatology in Tavares, Florida. Kenneth E Stark Md Pa practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Kenneth E Stark Md Pa is 1295916476. The last update date is 2007-11-16.
Kenneth E Stark Md Pa's current location address is 1613 Banning Beach Rd, Tavares, Florida. You can contact this provider via phone number 3523437735 and fax number 3523437740. The mailing address for Kenneth E Stark Md Pa is 1613 Banning Beach Rd, Tavares, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth E Stark Md Pa |
|---|---|
| Address | 1613 Banning Beach Rd, Tavares, Florida |
| Phone Number | 3523437735 |
| Fax Number | 3523437740 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Stark E Kenneth |
| Credentials | MD |
| Telephone Number | 3523437735 |
NPI Number Detail
| NPI Number | 1295916476 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 1613 Banning Beach Rd |
|---|---|
| City | Tavares |
| State | Florida (FL) |
| Post Code | 327782024 |
| Phone Number | 3523437735 |
| Fax Number | 3523437740 |
Provider's Primary Taxonomy Detail
| Speciality | Rheumatology |
|---|---|
| Taxonomy | 207Rr0500X |
| Licence No | ME0045588 |
|
Definition: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9127 | FL | BCBS OF FLORIDA | |
| 370164600 | FL | -- | |
| 6515425 | FL | CIGNA |
Post Comment/ Review Below
What is the Kenneth E Stark Md Pa's 1295916476?
The Kenneth E Stark Md Pa's NPI (National Provider Identifier) Number is 1295916476. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth E Stark Md Pa is geographically located?
The Kenneth E Stark Md Pa is physically situated at the following location: 1613 Banning Beach Rd, Tavares, FL, 327782024.
What is Kenneth E Stark Md Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth E Stark Md Pa's area of specialization is Rheumatology, and the corresponding taxonomy code that categorizes this field of practice is 207Rr0500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295916476 to Kenneth E Stark Md Pa?
The Kenneth E Stark Md Pa received its 1295916476 assignment from the Centers for Medicare & Medicaid Services on 2007-11-16.
As of what date were the details related to Kenneth E Stark Md Pa most recently updated or revised?
The information pertaining to Kenneth E Stark Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-16.